Medical care items, doctor's order declaration amount (quarterly)
Provide medical order application quantity data for various medical treatment items for the public to check.
Data fields
Annual fee (starting)、The cost is annual (until)、Medical service code、中文項目名稱、English item name、The effective date、Declaration amount (times)、Note payment standards transfer plan、Note the plan transfer payment standards
Contact person
陳小姐 ((02)2706-5866#2635)
Update frequency
Every January
License
Open Government Data License, version 1.0
Charge
free
Publish date
2025-12-10
Dataset type
System programming interface
Updated time
2026-08-14 10:15
Topic
Other
Service category
Dataset Category
Data archives
Keyword
Medical administrationLifeMedical serviceBenefit itemsReported amount
Note
1. Data source: National Health Insurance Administration's multimodal health insurance data platform payment standard historical file, payment standard declaration summary file (monthly cumulative quarter).2. This report was created on 114/12/10, and the data year starts from the 114th year, presenting the latest medical treatment items, chapters, sections, and effective dates on the day of data extraction from the payment standard historical file.3. This data is calculated based on the medical order codes reported by outpatient, inpatient, and dispensing institutions, excluding specific medical order categories (outpatient or dispensing medical order categories are 3, D, E, F, inpatient medical order categories are 3, A, B, D, E, F, Y, Z), and changes in co-payment codes for medical orders already accounted for.4. Starting from February 19, 108, medical order category K (average nursing-to-patient ratio reaching a specific threshold premium) is not included in the calculation of medical order declarations.5. If the declared amount (times) is 0, it means that there is no declaration data for the payment standard effective period for that medical treatment item.6. This database is based on a quarterly basis:(1) Noting the conversion of payment standards to plans: The medical treatment item code will be converted to a plan after the effective date, so the declaration amount and medical order points are calculated until the end of the quarter of the effective date.(2) Noting the conversion of plans to payment standards: The medical treatment item code will be converted from a plan to a payment standard from the effective date, so the declaration amount and medical order points are calculated starting from the quarter of the effective date.(e.g. Data year 2024, medical treatment item 91090C payment standard period 2022/03/01-2024/02/29, converted to a plan on 2024/03/01, so the declaration amount is counted until 2024/03/31, marked with "V", and empty values are shown as "-")(File update time: 2025-12-10 09:53:35)
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